Fiji - Ministry of Health - Corporate Plan 2011
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Transcript of Fiji - Ministry of Health - Corporate Plan 2011
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Ministry of Health
Annual Corporate Plan
For the Financial Year ending on31 December 2011
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M . O . H . A n n u a l C o r p o r a t e P l a n 2 0 1 1
T a b l e o f C o n t e n t s
Section Page No.
1. Ministers Foreword 3
2. Permanent Secretary s Statement 4
3. Overview 5
3.1. Vision 5
3.2. Mission 5
3.3. Values 5
3.4. Role and Responsibilities of the Ministry 6
4. Organisation Chart/Structure 7
5. Linkage of the Roadmap for Democracy and Sustainable
Socio-Economic Development 2009-2014 and Ministry Outputs 8
6. Ministrys Outputs and Performance Targets 10
7. Human Resources Management/Development Issues 17
8. Capital Projects for the Year ( 2011) 19
9. Glossary 20
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The Ministry of Health has earmarked 2011 as a platform in raising the delivery of healthcare services to a
new level for Fiji. In this regard, we have recently published our new Strategic Plan 2011 2015, which states
our intentions for the next five years. It is a well known fact that the provision of effective and efficient health
services is largely determined by three factors: equipment, drugs and consumables; infrastructure and
facilities; and a willing and committed workforce. Obviously, underlying all this is the dollar that is made
available to us.With that in mind, we had embarked on a plan from 2009
to replace old and obsolete equipment including vehicles.
New capital projects have been planned, some of which
have already been completed or are currently in various
phases of implementation. We have also worked on
upskilling workers through various training programmes
both locally and abroad and we had also focused on
improving customer services. We have also been
reviewing our purchasing and procurement system toimprove delivery of drugs, medicines and consumables
into the country. We aim to continue all this in 2011 as we
target Millennium Development Goals [MDGs] 4, 5
and 6 through strategically designed activities and also
continue working on addressing communicable diseases
such as Typhoid, Leptospirosis, Dengue and TB, not to
mention HIV/AIDS. The Ministry of Health also intends to
aggressively combat non-communicable diseases [NCDs]
with an overarching Health Promotion programme. The
intention is to relentlessly drive the message to the
community that everyone must take responsibility for their
health. Wellness rather than treatment must be the
focus now. The concept of wellness is in harmony with
the Ministry of Healths foremost objective, which is to
strengthen primary healthcare services in the country.
The natural resources we are endowed with lend
support to our ability to achieve wellness through physical activity, consumption of home grown food and
produce caught from our fresh waters and seas. The social and economic benefits to Fiji are enormous should
we commit ourselves to this concept. We know that a healthy nation - in the holistic sense - will mean a
healthy workforce, which in turn equates to more productivity. The outcome is obvious: it is a prosperous Fiji.
At the same time, the converse is true and we must seriously consider that there are social and economic
consequences for the nation if we fail to heed this message today.
I therefore call upon us all to be responsible citizens in shaping Fijis health towards wellness and invite our
donor partners and NGOs to help us achieve our objectives this year.
God bless Fiji.
3 M . O . H An n u a l C o r p o r a t e P la n 2 0 1 1
Min is te r s F orward
Dr Neil Sharma
Dr Neil SharmaMinister for Health
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4 M .O . H . A n n u a l C o r p o r a t e P l a n 2 0 1 1
Pe r m a n e n t Se c r e t a r ys St a t e m e n t
I am pleased to present the Ministry of Health 2011 Annual Corporate Plan. Our
activities for the year have been based on the recently published Ministrys
Strategic Plan 2011 2015, which is aligned to the Governments Roadmap for
Democracy and Sustainable Social & Economic Development 2009 2014.
The 2011 Annual Corporate Plan encompasses, at a national level, the vision,
mission and values for the health of the nation and consolidates the goals and
objectives of the various service divisions of the Ministry. This document has been
produced with the intention that it will serve as a guideline and framework for each
service division to develop their own detailed Business Plans with realistic and
achievable outputs. There have been reviews of existing legislation and also
various pieces of new legislation recently put in place that will assist the Ministry in
better delivery of health services to the people of Fiji. I am glad to note that some
legislation will allow for generation of much needed revenue towards Government coffers.
However, with the current financial climate, it is prudent that coordination and integration of services for the
purposes of pooling and maximising resources will be crucial. We are therefore strengthening our monitoring and
evaluation role to ensure we are on target.
One major target is the improvement of the delivery of primary healthcare services and we are truly and sincerely
grateful to our donor partners in their generous assistance towards this area. For its part, the Ministry has made a
commitment to purchase equipment for subdivisional hospitals and upgrade infrastructure and facilities while it will
continue its capacity building programmes.
The provision of clinical services will see new services being introduced through the implementation of the Clinical
Services Plan as we look at strengthening secondary and tertiary healthcare.
I also take this opportunity to value and appreciate the contribution and consultative efforts from the senior
executive management of the Ministry towards this framework and we look forward to working with all stakeholders
in both the public and private sectors to see that we can provide health services that are accessible, responsive
and equitable for the people of Fiji.
May God bless Fiji.
Dr Salanieta Saketa
Ministry of Health
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5 M . O . H . A n n u a l C o r p o r a t e P l a n 20 1 1
Mission
Vision
Va lues
We are genuinely concerned that Health Services is focused on thepeople/patient receiving appropriate high quality health caredelivery
Customer focus
We will be responsive to the needs of the of the people in a timelymanner delivering our services in an effective and efficient manner
Responsiveness
We will commit ourselves to the highest ethical and professionalstandards in all that we doIntegrity
We will always pursue high quality outcomes in all our activitiesand dealingsQuality
We will strive for equitable healthcare and observe fair dealingswith our customer in all activities at all times irrespective of race,
colour, ethnicity or creed
Equity
OverviewThe major goal of the Ministry of Health is to provide accessible, affordable, efficient and high quality health care and strengthencommunity development leading to improved quality of life.
In view of the current global economic situation, the emergence of new and chronic diseases together with an increasing demand for freehealth services, the use of new technologies, modern & expensive drugs to support the delivery of the services in the face of limitedresources, achieving these major objectives will continue to be a challenge for the Ministry in the years to come. In addition, staff retentionis an area of concern that continues to have an impact on the efficient delivery of the health care and social welfare services to the peopleof Fiji. With the implementation of the Clinical Services Plan; improved planning and ongoing delivery of effective public health &promotion activities; performance budgeting; identification of appropriate financing/ resource options to complement the health budget
and implementation of appropriate prevention strategies; the Ministry aims to rise to the occasion and continue to provide quality healthcare and improved quality of life for all.
Guiding Principles
To provide a high quality Health Care Delivery Service by a caring andcommitted workforce working with strategic partners through good governance,appropriate technology and appropriate risk management facilitating a focus onpatient safety and best health status for the citizens of Fiji.
A Healthy population in Fiji that is driven by a Caring Health Care DeliverySystem
Respect for Human Dignity We respect the sanctity and dignity of all we serve
Faithfulness We will faithfully uphold the principles of love, tolerance andunderstanding in all our dealings with the people we serve
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6 M . O . H . A n n u a l C o r p o r a t e P la n 20 1 1
Table 2: Legislation for which this portfolio is responsible
Description
1. Ambulance Services Decree 2010
2. Animals (Control of Experiments) Act (Cap.161)
3. Burial and Cremation Act (Cap.117)
4. Child Welfare Decree 2010
5. Code of Marketing Control of Food for Infants and Children
6. Dangerous Drugs Act (Cap. 114)
7. Food Safety Act 2003
8. Medical Imaging Technologist Decree 2009
9. Medical and Dental Practitioner [Amendment] Decree 2010
10. Medical Assistants Act (Cap.113)
11. Methylated Spirit Act (Cap. 225A)
12. Mental Healthcare & Treatment Decree 2010
13. Methylated Spirit Act (Cap. 113)
14. Nurses, Midwives and Nurse Practitioner Act (Cap. 256)
15. Pharmacy and Poisons Act (Cap 115)
16. Private Hospitals Act (Cap. 256A)
17. Public Health Act (Cap. 111)
18. Public Hospitals & Dispensaries Act (Cap 110)
19. Quarantine Decree 2010 (Cap. 112)
20. Radiation Health Decree 2009
21. Tobacco Control Act 1998
Further legislations to be developed in 2011 are the HIV Decree, the Nurses Decree and due for completion is
the review of the Public Health Act.
The Ministry of Healths goal is to provide quality,affordable, efficient and effective health services thatare accessible by all communities. In doing so theMinistry of Health will address its strategic themes
of provision of health services, protection in health,promotion in health, productivity in health, andpeople in health to achieve the major outcomessummarised below.The Ministry will focus on establishing a HealthPolicy Commission as well as policy initiativesregarding improved health care financing,improved maternal and child health, a concertedeffort to reduce non-communicable diseases, andexpanding tertiary healthcare services.
Role and Responsibilities of the Ministry
To achieve this goal, the Ministry will develop fromavailable resources a comprehensive health deliverysystem dedicated to primary health care, healthpromotion and disease prevention. Improvements to the
delivery of health services will continue to be pursuedby the Ministry and in partnership with keystakeholders including the private sector anddevelopment partners. The Ministry will alsocontinue with the training of personnel to addresscritical staff shortages in health institutions, togetherwith improved provision of pharmaceuticals andbio-medical equipment, and the maintenance andupgrading of health facilities. The Ministry willseriously look at improving services to the aged/ elderly,geriatric medicine and those with chronic illnesses.
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.O.H.AnnualCorporate
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O r g a n i s a t i o n St r u c t u r e
Figure 1: Organisational Structure 2011
Minister for Health
Permanent Secretary
US02
DSPH
US02
DSHS
US02
DSA&F
US04DHR
AC01PAO
SS01PAS(P)
SS01PAS
(PPU)
MD01MSs
CWMHLautoka HospLabasa Hosp
St.GilesHospTamavua -
Twomey Hosp
US03DNS
SS01PAS
(AMU)
SS01PAS, HSS
SS01PAS, Reg
MD02NCD
MD02Scientific
Laboratory
HW01 CDN HW01MNFNC
MD02FamilyHealth
US04Dental
Services
US04Env.
Health
USO4Health
Promotion
MD02DMOC/E
WESTERNNORTHERN
ESUM/ESU
NABS
NA ES
US03DHIPI
US04Epidemiologist
IT03M/IT
SS01PAS (HP)
USO3DP&BS
USO4CP
WHMESO1BE
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Linkage of the Roadmap for Democracy and SustainableSocio- Economic Development 2009-2014 and Ministry Outputs
Table 1: Linkage of Outputs with Governments Targeted Outcomes (RDSSED)
Targeted Outcome
[Goal/ Polic y Objective-
RDSSED]
Outcome Performance
Indicators or Measures
[Key Performance Indicators]
Ministrys Outputs
Childmortality ratereducedFrom26to20per 1000liveBirths(MDG).
2. Public Awareness Promotions PublicHealth4. CommunicableDisease Prevention5.Provisionof Clinical Services6.Provisionof Primary HealthCare
Percentageofone year oldsImmunised againstmeaslesincreasedfrom68%to95%(MDG).
4. CommunicableDisease Prevention
Maternal mortality ratioReducedfrom50to20per
100,000 livebirths (MDG).
2. Public Awareness Promotions PublicHealth
5.Provisionof Clinical Services6.Provisionof Primary HealthCare
Prevalenceof diabetes in 15-64yrsage reduced from16%to14%(note: baseline and target may needrevision).
2. Public Awareness PromotionsPublicHealth
Contraceptiveprevalencerate(CPR)amongst populationofchildbearingage increased from46%to 56% (MDG).
2. Public Awareness Promotions PublicHealth6.Provisionof Primary HealthCare
Increased Fiji resident medical
graduates fromFSMedfrom 40 to50 per year
1. Portfolio Leadership PolicyAdviceand
Secretariat Support
Increase annual budgetaryallocation to the health sector by0.5%of theGDP annually.Anannual growthrateof5%over themedium term
1. Portfolio Leadership PolicyAdviceandSecretariat Support
Average lengthof stay for in-patienttreatment reducedfrom 7 to5 days
5.Provisionof Clinical Services
Prevalence rate of STIs among men
and womenaged 15 to25.
2. Public Awareness PromotionsPublic
Health6.Provisionof Primary HealthCare
HIV/AIDSprevalenceamong15-24year-old pregnantwomenreducedfrom0.04 to0.03(MDG).
2. Public Awareness PromotionsPublicHealth
Communities are servicedbyadequate primaryandpreventivehealth servicestherebyprotecting,promotingand supportingtheir wellbeing
Admissionrate for diabetesanditscomplications, hypertensionandcardiovascular disease.
2. Public Awareness PromotionsPublicHealth5.Provisionof Clinical Services
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Amputation rate for diabeticsepsis 2. PublicAwareness Promotions PublicHealth5.Provisionof Clinical Services
6.Provisionof Primary Health Care
Proportionof thepopulationaged over 35yearsengaged in sufficient leisure timeactivity.
2. PublicAwareness Promotions Public Health
Prevalenceofunder5 malnutrition 2. Public Awareness Promotions Public Health6. Provisionof Primary Health Care
Prevalence rate of lymphatic filariasis (PacELF/WHO)
4. Communicable Disease Prevention
Prevalence rate of Tuberculosis reduced from 10%to 5% (part of MDG 221).
4. Communicable Disease Prevention
Prevalenceof anaemia inpregnancyat booking
from 55.7% to 45%
2. Public Awareness PromotionsPublic Health
6.Provisionof Primary Health Care
Rate of teenage pregnancy reduced by5% 2.Public Awareness PromotionsPublic Health
Participation of private andhealth care providersincreased from2 to 10.
1. Portfolio Leadership Policy Adviceand Secretariat Support
Health expenditure increasedfrom the current2.92%toat least 5% ofGDPby 2013
1. Portfolio Leadership Policy Adviceand Secretariat Support
Increase annual budgetary allocation to the health
sector by0.5%of theGDP annually.
1. Portfolio Leadership Policy Adviceand Secretariat Support
Doctorsper100,000populations increased from 36to 42.
1. Portfolio Leadership Policy Adviceand Secretariat Support
Outsourcing non technical activitiessuch aslaundry, kitchen andsecurity byend of 2011
1. Portfolio Leadership Policy Adviceand Secretariat Support
Health Policy Commissionestablished by2011 1. Portfolio Leadership PolicyAdviceand Secretariat Support
Average lengthof stay for in-patient treatment
reduced from7 to5 days
5.Provisionof Clinical Services
Elimination of stock outs of drugs from present100itemspermonth
Supply of Good Medical Suppliesand Consumables
Proportionof tuberculosis casesdetectedand curedunder directly observedtreatment short course(DOTS).
2. PublicAwareness Promotions Public Health5.Provisionof Clinical Services
6.Provisionof Primary Health Care
Bed Occupancy Rateof Psychiatricbeds 5.ProvisionofClinical Services
Number of staff trained in mentalhealth 9. Educationand Training Nurses
Communities haveaccess to effective,efficient and quality
clinical health care andrehabilitation services
Targeted Ou tcome
[Goal/ Policy Objective-RDSSED]
Ministrys Outputs
Outcome Performance
Indicators o r Measures[Key Performance Indicators
There are two TB-related MDGs. MDG 23 is Prevalence and death ra tes associated with tuberculosis and MDG 24 is Proport ion of tuberculosis cases detectedand cured under direct ly observedtreatment short (DOTS) course .
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.O.H.AnnualCorporate
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Quantity1. Number of Cabinet Papers submit ted to the
Minister2. Number of NHEC papers presented at NHEC to
Minister3. Number of papers presented to DSC
NA
NA
NA
>12
>24
>8QualityMinister rates the consistency of policy papers assatisfactory or better.
NA >95%
Timeliness1. Pol icy advice prepared within f ive business days
of a request from the Minister.2. Cabinet papers prepared within ten business
days of a request from the Minister.
NA
NA
>95%
>75%
CostCompletion of work programme within the withinbudget
NA Withinbudget
Fu ll-ti me staff in g e qu iv al en t s taffin g r esourc es 2 4
Review of Mental Health & SuicidePrevention Strategic Plan 2007-11
Enactment of legislations namelyPublic Health Decree, HIV Decree,Nurses Decree, Allied HealthDecree by November 2011
Implement registration of healthprofessionals by November 2011
Ministry Service Charter developedby June 2011
Outsourcing of Cleaning Services byDecember 2011
Health Information Policy developedby June 2011
Health Information Strategic Plandeveloped by June 2011
Implement HRIS in all divisions byJune 2011
Establishment of Health Policy Unitby December 2011
National Health Accounts 2009produced by September 2011
Healthcare Financing strategiesdeveloped in consultation withrelevant stakeholders to see budgetincreased to 5% of GDP by
November 2011 Initiate implementation of > 3
recommendations from WorkforcePlan Report that have beenadopted by National HR Taskforceby November 2011
Development of regulatoryframework for the PharmacyProfession Decree and theMedicin al Products Decree byJune 2011
Public Health/Nursing/Hospital Service s
CorporateServices/HospitalServices/Planning
CorporateServices/Planning
FijiPharmaceuticalBio-MedicalServices
Performance Indicators 2010Actual
2011Target
Strategies and TimeframeResponsibleDivision
Output 1:PortfolioLeadershipPolicyAdvice &SecretariatSupport
Output
Table 2: Output Specification and Performance
Ministrys Outputs and Performance Targets
by June 2011
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.O.H.AnnualCorporate
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Quantity Number of promotion campaigns
undertaken (Inclusive of IYCF/BF &Anaemia by NFNC/NCHP as part ofFPAN).
Number of health condit ions targeted. Percentage of target population
reached
NA
NANA
>6
>6>60%
Quality1. Percentage of target population
reaching positive behavioural changein acc ordance with the campaignmessage.
NA >20%
TimelinessPromotional campaign implementedaccording to approved schedule
NA >85%
CostCompletion of work programme within thewithin budget
NA Withinbudget
2. PublicAwarenessPromotions Public Health
Full-time equivalent staffing resources 7
Implement strategies ofFPAN COMBI Plan byDecember 2011
Implement Oral Healthpromotion programme byNovember 2011
Physical activityprogrammes in existinghealthy settings conductedby November 2011
Strengthenedimplementation of socialmobil isation and marketingcampaign on the WellChild Health concept permonthly basis
Implement Anti-Smokingpromotion programmesmonthly basis
Implement 80% ofstrategies from Annual WorkPlan derived from DengueStrategic Plan byNovember 2011
Implement >40% ofstrategies from Annual WorkPlan derived from NCHPStrategic Plan by June2011
Public Health
Quantity Number of medical evacuations
and mercy missions.2. Over minimum blood stock at all times
NA
NA
95%Quality3. Percentage of blood lost due to
inappropriate or fai led storage.NA 98%
CostCompletion of work programme within thewithin budget
NA Withinbudget
Output 3:EmergencyResponseServices
MedicalEvacuations(local) and BloodSupply.
Full Time Equivalent Staffing Resources: 49
Conduct of mockemergency serviceexercises in each divisionby November 2011
Implement >80% ofstrategies from Annual WorkPlan derived from NationalBlood Service StrategicPlan by November 2011
HospitalServices/Public Health
Performance Indicators2010Actual
2011Target rStrategies and Timef ame
ResponsibleDivisionOutput
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Output 4:CommunicableDiseasePrevention.
Quantity Proportion of 12 month old children
immunised against measles/rubella(MR1)
Number of HIV Positive antenatalmothers covered with ARV prophylaxis(PMTCT)
Incidence of priority/epidemic
communicable diseases (Leptospirosis,Dengue fever, Typhoid fever, Measles,Rubella, Influenza, Cholera).
Mass drug administration coverage foranti-filarial drugs by division.
NA
NA
>85%
>80%
< 1-10%
Development ofCommunicable DiseaseLab Testing Guideline forprimary healthcarefacil ities by March 2011Implement strategies fromCommunicable DiseaseSurveillance Outbreak
Response Guidel ine byJune 2011Implement strategies fromDengue Fever StrategicPlan by September 2011Implement socialmobilisation interventionson Communicable Diseaseby November 2011
Public Health
Performance Indicators2010Actual
2011Target rStrategies and Timef ame
ResponsibleDivisionOutput
Strategies to reduceLeptospirosis developed andbeing implemented by April2011 in consultation with MPI
Full Time Equivalent Staffing Resources 49
Quality NA >80% Three-year average annual decrease in 80%activities within 72 hours of public healthwarning
CostCompletion of work programme within thewithin budget
NA Withinbudget
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.O.H.AnnualCorporate
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Quantity1. Average number of outpatient consultations per hour2. Number of specialist consultations per hour3. Average number of prescribed items dispensed per hour4. Number of available h ospital beds per shift (Available =
fully resourced: staffed, equipped, linen supply)5. Average length of stay (days).
Acute wardsChronic wards
6. Number of discharges per day
NA
NA
5 per officer 4 per officer10 perpharmacist>70%
80% of outreach serviceplans of various Clinical Service Networksby November 2011
6. Strategies developed to strengthencommunication on turnaround time [TAT]for pap smear results by June 2011
7. Strategies developed to strengthen TATfor radiology service results by June 2011
8. Baby Friendly Hospital Concept ismaintained in all hospitals for 2011
9. Emergency Obstetric Care services arestrengthened in mi nimu m of 4 subdivisionhospitals by November 2011
10. Emergency ne onatal care is strengthenedin all paediatric units by November 2011
11. NICU and PICU services in all divisionalhospitals are strengthened by Septemb er
201112. Rotavirus and pneumococcal vaccine
introduced into child health immunisationschedule by September 2011
Full Time Equivalent Staffing Resources
Quality Rate of unplanned readmission for the same condition
within 28 days
Percentage of clients who rate service as satisfactory or better. Root cause analysis conducted for sentinel events
NA
NA
85%
>95%
Timeliness Patients examined within 25 minutes of arrival Diagnosis delivered within 15 minutes of examination.
NA >60%>50%
CostCompletion of work programme within the within budget NA Within budget
3,398
Performance Indicators2010Actual
2011Target rStrategies and Timef ame
ResponsibleDivision
Output
Output 5:Provisionof ClinicalServices.
HospitalServices
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.O.H.AnnualCorporate
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Performance Indicators2010Actual
2011Target rStrategies and Timef ame
ResponsibleDivisionOutput
Quantity1. Number of outpatient attendances2. Number of nurse visits3. Proportion of adults over 30yrs
screened for diabetes Proportion of pregnant mothers
screened for HIV and who knew theirresults
Proportion of CBA women using amodern contraceptive for FamilyPlanning
4. Number of mental health training peryear
>10%
>10%
>40%
>12
Quality1. No. of clients who rate services as
satisfactory or better at Hea lth Centres>30%
Timeliness
SDMT are satisfied with the timelinessfrequency and quality of technical adviceprovided of their respective DHP officer.
NA >15%
CostCompletion of work programme within thewithin budget
NA Withinbudget
Output 6:Provision ofPrimary HealthCare.
Full Time Equivalent Staffing Resources 665
Strategies andimplementation scheduledeveloped for eachdivision by April 2011 inconsultation with relevantstakeholders on i ncreasedcommun ity acc ess to safesanitation
Strategies andimplementation scheduledeveloped for eachdivision by April 2011 inconsultation with relevantstakeholders on i ncreasedcommun ity acc ess to safewater
80% of Work Planimplemented for ADH
programme by November2011 Plan for screening of RHD
in primary schoolsdeveloped in c onsultationwith Ministry of Educationand being implementedby June 2011
Breast feeding campa ignmaintained in all healthfaciliti es per quarter
Introduction of IMCIprotocol to minimum of 2health facili ties perdivision per quarter
Coordinated approach byPublic Health, Paediatricand O&G CSNs to developand i mplement strategiesto reduce maternity, infantand chi ld mortality rates inall divisions per quarter
80% of 2011 Work Planderived from NCDStrategic Plan 2010-14
implemented byNovember 201 1
Establishment of Diabetic /Renal Hubs atKamikamica Park andLautoka Hospital by June2011
National advocacyprogrammes on mentalhealth un dertaken atdivisional and sub-divisional level byNovember 201 1
>80% of strategies inAnnual Performance Planimplemented byNovember 201 1
Rezoning exercise ofselected medical areasundertaken by November
Public Health
2011
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.O.H.AnnualCorporate
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Quantity Number of Cl ients Trained per
subdivision Number of staff trained per subdivision1. Number of course days
NA >30>35
Quality2. Course participants rate training as
satisfactory or better..
NA >85%
TimelinessTraining conducted in accordance withscheduled timetable.
NA >95%
CostCompletion of work programme within thewithin budget
NA Withinbudget
Output 7:Education andTraining Disease Controland HealthPromotion.
Ful l-Time Equ iv alen t S ta ff ing Resources 445
National In-ServiceTraining Planimplemented andmonitored on quarterlybasis
Increased number of stafftrained in mental healthcare by November 2011
95% of identif ied
specialised training eitherundertaken or beingprogressed by November2011
CorporateServices/Public Health/HospitalServices
Quantity1. Number of Students2. Number of contact days per teaching
staff member3. Course days per s taff member4. Number of programmes
NA >450
>200>100>10
Quality5. Course participants rate training as
satisfactory or better6. Pass rate in respect of formal
qual i ficat ion/exam (To ref lect c l inicalpractical experience achieved?)
NA
NA
>85%
>90%
TimelinessClasses commence within 2 minutes ofscheduled timetable.
NA >95%
CostCompletion of work programme within thewithin budget
NA Withinbudget
Output 8:Education andTraining Nurse s
Ful l Time Equivalent Staff ing Resources 106
Nursing
Performance Indicators2010Actual
2011Target rStrategies and Timef ame
ResponsibleDivisionOutput
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.O.H.AnnualCorporate
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Performance Indicators2010Actual
2011Target
rStrategies and Timef ameResponsibleDivisionOutput
Quantity Number of e lder ly accommodated NA 95%
>90%
95%
CostCompletion of work programme within thewithin budget
NA Withinbudget
Output 9: HospiceServices Accommodationand Assistancefor the Elderly.
Full-Time Equivalent Staffing Resources: 67
Quality of elderly carestrengthened throughappropriate equipment andfacility development by June2011
Public Health
Quantity Number of stockouts per month Total value of stocks expired per year.
Percentage of goods overstocked peryear
Total volume of issues (stock)
NA < 100items< 5% stockexpired< 5%
>80%Quality Percentage of health facili ties who rate
service as satisfactory or betterNA >70%
TimelinessCustomers receive goods they seek in
accordance with the delivery schedule
NA >90%
CostCompletion of work programme within thewithin budget
NA Withinbudget
Output 10: Supplyof Goods Medical DrugsandConsumables
Full-Time Equivalent Staffing Resources 80
Review of prequalificationcriteria for supply of medicinesby March 2011
Implement recommendationsfrom STA review onprocurement by May 2011
Develop procurement plans forall supply lines by April 2011
Develop and implementinternal audit processes forinventory management athealth facility level byFebruary 2011
Migrate inventory management
system from Epicor to FMIS byAugust 2011 Conduct a customer
satisfaction survey byNovember 2011
Inventory managementTraining of health facili ty staffon inventory managementconducted by September 2011
Conduct of awareness andadvocacy on the NationalMedicines Policy by July 2011
Review of Essential MedicinesList by October 2011
Completion of StandardTreatment Guidelines (MentalHealth & Gastrointestinal) byNovember 2011
FijiPharmaceuticalBio-MedicalServices
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.O.H.AnnualCorporate
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Ta b l e 3 : P S C De l ivera b l e s a nd Ind i c a t o r s
PSC Deliverables Performance Targets Strategies Responsible Division
Indicators & Timeframe
Objective 1 : Continuous improvement in Human Resources Management and Development
Annual CorporatePlan Final Draftby November Submitted toPSCby 31st Dec CurrentACPreviewedquarterly
Workshop for followingyears ACP
conducted in September
First draft circulated to management for
comments by October1st
Planning
Strategic WorkforcePlan
SuccessionPlan
Final Draft by Nov 2011 Submitted toPSCby 31st Dec 2011 Complete WorkforceReviewby June 2011
Identification of critical positions for
succession
Identification and assessment of \potential
successors
Formulate individual training/development
plans
Corporate Services
HRDPlan FinalDraftby Nov 2011 Submitted toPSCby 31st Dec 2011 Training Plans for occupational groups
developed following completion of Workforce
Review
Corporate Services
Objective 2 :Good governance, integrity and com pliance
Six-monthlyReport Final Draftby 30th June Submitted toPSCby 15th July Internal management reporting(IMR) system
implemented
Quarterly reviewofcorporateplan
Quarterly reports to NationalPlanning
(QPPR)
Planning, Corporate
Services
Annual Reports Final Draftby Dec 2011 Submitted toPSCby 31st Jan 2012 Template prepared for reporting by senior
management
Planning
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18
M
.O.H.AnnualCorporate
Plan
20
11
Objective 3: Reform, reorganized & sust ainable structural changes
Initiatives and results of realigned,reorganized and restructured units toachieve 10%reduction
Freezeof positions identified
through10% reductionexercise
and redeployment ofstaff by
end of Sept2011
Outsourcing of non core
activities
31stOctober 2011 Identificationof retirees before30/6/2011
Identificationof excessive staff
Re-deploymentof staff internal/external
Review of existing structure and re-assignment
of duties.
Cleaning/laundry services outsourced by
30/11/2011
Corporate Services
Systems, Processes and ProductivityInitiatives
1. Strengthening of OHS
Committees
2. Establishment of Labour
Management Cooperation
Consultative committee
3. Documentation of processes
by 1st Quarter e.g.
Manuals/flowchart
4. Implementation of Civil
Service Excellence Awards
framework by Jan2010
5. Implementation of
PerformanceManagementSystem(PMS) by November
1st Quarter
1st Quarter
1st Quarter
1st Quarter
December31st
Appointment of OHSCommittees
Appointment of Committee
Preparationof Unit processes& flowcharts
Reviewof PDs
Appointment of MoH Civil Service Excellence
Champion.
Awareness training to be conducted by the
Training Division.Implement
Corporate Services
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Capital Projects for the Year (2011)
Table 4 Capital Projects/ Items
SEG Projects / Items Cost
8- Capital Construction Maintenance of Urban Hospitals & Institutional Qtrs $3,000,000 'ae
Rural Laboratories $1,000,000 'aeMaintenance of Health Centres & Nursing Stations $700,000
2011 PSIP Divisional Projects: Funding for these capital
projects are under the respective Divisional Commissioners
New Vatukarasa Nursing Station $170,000 'ae
Raiwaqa Health Centre Upgrading $110,000 'ae
Totoya Nursing Station Upgrading $170,000 'ae
Cicia Health Centre Upgrading $70,000 'ae
New Talaulia Nursing Station [Phase 2] $110,000 'ae
New Ravitaki Nursing Station $170,000 'aeVunisea Hospital Upgrading $400,000 'ae
Cuvu Nursing Upgrading to Health Centre $300,000 'ae
New Nalotawa Nursing Station $110,000 'ae
Relocation of Dobuilevu Nursing Station $170,000 'ae
9- Capital Purchases Purchase of IT Hardware $200,000 'ae
Incinerator, CWMH $420,000 'ae
Purchase of Equipment $500,000
Biomedical Equipment Urban Hospitals $1,500,000 'ae
Biomedical Equipment-Subdivisional Hospitals $300,000Dental Equipment for Urban Hospitals $200,000
Dental Equipment for Subdivisional Hospitals $300,000
Equipment for Health Centres & Nursing Stations $100,000
Magnetic Resonance Imaging [MRI] $2,000,000 'ae
TOTAL $11,573,000. 00
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Glossary
This glossary provides definitions for a number of different terms to help you understand their meaning when used in the
body of this corporate plan template. The glossary is only intended to assist agencies when preparing their corporate
plans and is not required to be included as part of the corporate plan to be submitted to Ministry of Finance and/ or the
Public Service Commission. However, should an agency wish to include a glossary that will help
the reader better understand their corporate plan, then they may do so.
Outcome impact/ effect on the community from the goods and services delivered by agencies.
RDSSED abbreviation for the Roadmap for Democracy and Sustainable Socio-Economic Development
2009-2014.
Output services or goods provided to clients/ customers external to the agency.
Internal Output goods or services of one part of an agency delivered to other parts of the same agency. They
contribute indirectly to the production of outputs.
Sub-output a single output produced along the production process leading to the production/ delivery of an
output.
Output groups a collection of outputs (including internal outputs) that are similar in nature.
Output performance measures an assessment of characteristics of performance that illustrate that an agency
has delivered its outputs. These measures relate to quantity, quality and timeliness.
Performance targets numerical target levels of performance against which actual performance can be compared.